Physician
Pluto, Tiffany
Pluto, Tiffany was paid $71K by Medicaid between Oct 2020 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoPLUTO, TIFFANY
SCOTTDALE, PA 15683
SCOTTDALE, PA 15683
33aNPI1073515441assigned 08/15/2005
33bProvider typeFamily Medicine Physician
28Total paid$71K
24GClaims1,849
24DCodes billed3
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#784 of 2,756
Median peer was paid$19K
This provider vs. median3.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 70 | $2K | |
| 2021 | 448 | $17K | |
| 2022 | 526 | $19K | |
| 2023 | 525 | $21K | |
| 2024incomplete | 280 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 79% | 1,341 | 1,287 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 469 | 440 | $15K |
| 90686 | <1% | 39 | 39 | $121.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.